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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
31

Efeitos da orientação postural na utilização de mochilas escolares em estudantes do ensino fundamental / Effects of postural orientation in the use of school backpacks in elementary school students

Fernandes, Susi Mary de Souza 28 November 2007 (has links)
OBJETIVO: Avaliar o efeito de sessões educativas no peso, modelo e modo de transportar mochila escolar. MÉTODO: Estudo com 99 crianças, de 7 a 11 anos cursando ensino fundamental em escola particular de São Paulo. Na avaliação foi medido peso do sujeito (kg) e da mochila (kg), tipo e modo de transporte por filmagem pré e pós intervenção. Como medida de intervenção, os sujeitos foram submetidos à sessão educativa que consistiu em orientações sobre coluna vertebral e vivência prática de posturas corretas. Pais e professores também foram orientados. Os sujeitos receberam reforço por 3 meses. RESULTADOS: Os dados foram analisados utilizando testes estatísticos de Igualdade de duas proporções e Wilcoxon, o nível de significância adotado foi de 0,05 (5%). O tipo de mochila modificou para modelo duas alças (p=0,046), modo de transporte para ombro bilateral (p=0,047). O peso absoluto das mochilas diminuiu 2,66kg (p<0,001) e o peso relativo diminuiu 7% (p<0,001). Na adequação por categoria, o número de sujeitos do grupo adequado e aceitável aumentou, e houve redução do inadequado (p<0,001). CONCLUSÃO: As sessões educativas modificaram peso, tipo e modo de transporte das mochilas entre os escolares. / OBJECTIVE: Evaluate the effect of educational sessions in weight, model and mode of school backpack transport. METHOD: Study of a series of cases with 99 children from seven to ten years of age in a private elementary school in São Paulo. Measured in the evaluation was the weight of the subject (Kg) and backpack (Kg) and type and mode of transport for filming pre and post intervention. They were submitted to an educational session that consisted of orientations on spine and practical use of correct posture; parents and teachers were also guided. The subjects received reinforcement for 3 months. To analyze the final data, it was used two-proportion equality statistic tests and Wilcoxon. The significance level used on the tests was 0,05 (5%). RESULTS: Backpack type modified for model two straps (p = 0.046), mode of transport for bilateral shoulder (p = 0.047). Absolute weight of the backpacks diminished 2.66Kg (p <0.001) and relative weight diminished 7% (p <0.001). In adaptation per category, the number of subjects of the appropriate and acceptable groups increased while having a reduction in the inadequate group (p <0,001). CONCLUSION: Educational sessions modified weight, type and mode of transport of the backpacks among the schoolchildren.
32

Efeitos da orientação postural na utilização de mochilas escolares em estudantes do ensino fundamental / Effects of postural orientation in the use of school backpacks in elementary school students

Susi Mary de Souza Fernandes 28 November 2007 (has links)
OBJETIVO: Avaliar o efeito de sessões educativas no peso, modelo e modo de transportar mochila escolar. MÉTODO: Estudo com 99 crianças, de 7 a 11 anos cursando ensino fundamental em escola particular de São Paulo. Na avaliação foi medido peso do sujeito (kg) e da mochila (kg), tipo e modo de transporte por filmagem pré e pós intervenção. Como medida de intervenção, os sujeitos foram submetidos à sessão educativa que consistiu em orientações sobre coluna vertebral e vivência prática de posturas corretas. Pais e professores também foram orientados. Os sujeitos receberam reforço por 3 meses. RESULTADOS: Os dados foram analisados utilizando testes estatísticos de Igualdade de duas proporções e Wilcoxon, o nível de significância adotado foi de 0,05 (5%). O tipo de mochila modificou para modelo duas alças (p=0,046), modo de transporte para ombro bilateral (p=0,047). O peso absoluto das mochilas diminuiu 2,66kg (p<0,001) e o peso relativo diminuiu 7% (p<0,001). Na adequação por categoria, o número de sujeitos do grupo adequado e aceitável aumentou, e houve redução do inadequado (p<0,001). CONCLUSÃO: As sessões educativas modificaram peso, tipo e modo de transporte das mochilas entre os escolares. / OBJECTIVE: Evaluate the effect of educational sessions in weight, model and mode of school backpack transport. METHOD: Study of a series of cases with 99 children from seven to ten years of age in a private elementary school in São Paulo. Measured in the evaluation was the weight of the subject (Kg) and backpack (Kg) and type and mode of transport for filming pre and post intervention. They were submitted to an educational session that consisted of orientations on spine and practical use of correct posture; parents and teachers were also guided. The subjects received reinforcement for 3 months. To analyze the final data, it was used two-proportion equality statistic tests and Wilcoxon. The significance level used on the tests was 0,05 (5%). RESULTS: Backpack type modified for model two straps (p = 0.046), mode of transport for bilateral shoulder (p = 0.047). Absolute weight of the backpacks diminished 2.66Kg (p <0.001) and relative weight diminished 7% (p <0.001). In adaptation per category, the number of subjects of the appropriate and acceptable groups increased while having a reduction in the inadequate group (p <0,001). CONCLUSION: Educational sessions modified weight, type and mode of transport of the backpacks among the schoolchildren.
33

Bilder av belastad ländrygg i öppen magnetresonanstomograf : en allmän litteraturöversikt / Weight-bearing lumbar magnetic resonance imaging : a literature overview

Elcar, Camilla, Olsson, Kristin January 2017 (has links)
Slutna cylinderformade MRT-kameror ger bilder av patienten i liggande position men studier visar att ländryggen beter sig annorlunda under den belastning som en sittande eller stående position innebär. Syfte: Syftet med denna litteraturstudie var att sammanställa kunskap om diagnostik av ländrygg med hjälp av öppen MRT-kamera som tillåter belastade bilder i viktbärande position. Metod: Studien genomfördes som en allmän litteraturstudie, med 16 inkluderade vetenskapliga artiklar. Resultat: Belastning såväl som extension av ländryggen kan påverka flertalet av ländryggens strukturer. Vid belastade bilder upptäcktes fler fall av spinal stenos, spondylolistes, nervkompression och facettcystor. Flertalet studier visade dock på mer smärta vid bildtagning i belastad position. Slutsats: Belastade bilder kan vara mer fördelaktigt än icke-belastade för att upptäcka patologi, samtidigt som extension och flexion är viktiga faktorer anatomiskt vid diagnostisering av ländryggssmärta. / Closed cylindrical MRI cameras provide images of the patient in a supine position, but studies show that the lumbar spine behave differently in a sitting or standing position with axial load. Objective: The purpose of this literature overview was to compile knowledge of lumbar diagnosis using open MRI camera that allows loaded images in weight-bearing positions. Methods: A literature overview including 16 articles. Results: Weight-bearing position as well as extension of the lumbar spine can affect many of the lumbar structures. Weight-bearing position revealed more cases of spinal stenosis, spondylolisthesis, nerve compression and juxtafacet cysts. However, the majority of studies showed imaging in the weight-bearing position to be more painful. Conclusion: Weight-bearing MRI may be more advantageous than non-weight-bearing to detect pathology. Extension and flexion are also important factors in the diagnosis of the lumbar spine.
34

Držení těla ve vztahu k asymetrii zatížení dolních končetin. Porovnání výsledků klinického vyšetření s vyšetřením na "Balance Master" / The body posture in relation to asymetric load of lower extremities. The comparison of results of clinical examination with the "Balance Master" testing

Mrkousová, Pavla January 2007 (has links)
The aim of this study was to assess the dependency between asymmetrical weight bearing on posture. A further aim is to objectify asymmetrical weight bearing of lower limbs and asymmetrical step length while walking with the use of "Balance Master" and also to assess possibilities of usage of "Balance Master" for testing motor functions of preschool aged children. The study discusses notions such as optimal body posture, deficient body posture, and body asymmetry. Powered by TCPDF (www.tcpdf.org)
35

Development of Novel Imaging and Image Modeling Techniques for the Assessment andQuantification of Inter-Vertebral Motion Using MRI

Mahato, Niladri Kumar 21 September 2016 (has links)
No description available.
36

The neuro-muscular and musculo-skeletal characterization of children with joint hypermobility

Netscher, Heather Gayle January 2009 (has links)
In children, joint hypermobility (typified by structural instability of joints) manifests clinically as neuro-muscular and musculo-skeletal conditions and conditions associated with development and organization of control of posture and gait (Finkelstein, 1916; Jahss, 1919; Sobel, 1926; Larsson, Mudholkar, Baum and Srivastava, 1995; Murray and Woo, 2001; Hakim and Grahame, 2003; Adib, Davies, Grahame, Woo and Murray, 2005:). The process of control of the relative proportions of joint mobility and stability, whilst maintaining equilibrium in standing posture and gait, is dependent upon the complex interrelationship between skeletal, muscular and neurological function (Massion, 1998; Gurfinkel, Ivanenko, Levik and Babakova, 1995; Shumway-Cook and Woollacott, 1995). The efficiency of this relies upon the integrity of neuro-muscular and musculo-skeletal components (ligaments, muscles, nerves), and the Central Nervous System’s capacity to interpret, process and integrate sensory information from visual, vestibular and proprioceptive sources (Crotts, Thompson, Nahom, Ryan and Newton, 1996; Riemann, Guskiewicz and Shields, 1999; Schmitz and Arnold, 1998) and development and incorporation of this into a representational scheme (postural reference frame) of body orientation with respect to internal and external environments (Gurfinkel et al., 1995; Roll and Roll, 1988). Sensory information from the base of support (feet) makes significant contribution to the development of reference frameworks (Kavounoudias, Roll and Roll, 1998). Problems with the structure and/ or function of any one, or combination of these components or systems, may result in partial loss of equilibrium and, therefore ineffectiveness or significant reduction in the capacity to interact with the environment, which may result in disability and/ or injury (Crotts et al., 1996; Rozzi, Lephart, Sterner and Kuligowski, 1999b). Whilst literature focusing upon clinical associations between joint hypermobility and conditions requiring therapeutic intervention has been abundant (Crego and Ford, 1952; Powell and Cantab, 1983; Dockery, in Jay, 1999; Grahame, 1971; Childs, 1986; Barton, Bird, Lindsay, Newton and Wright, 1995a; Rozzi, et al., 1999b; Kerr, Macmillan, Uttley and Luqmani, 2000; Grahame, 2001), there has been a deficit in controlled studies in which the neuro-muscular and musculo-skeletal characteristics of children with joint hypermobility have been quantified and considered within the context of organization of postural control in standing balance and gait. This was the aim of this project, undertaken as three studies. The major study (Study One) compared the fundamental neuro-muscular and musculo-skeletal characteristics of 15 children with joint hypermobility, and 15 age (8 and 9 years), gender, height and weight matched non-hypermobile controls. Significant differences were identified between previously undiagnosed hypermobile (n=15) and non-hypermobile children (n=15) in passive joint ranges of motion of the lower limbs and lumbar spine, muscle tone of the lower leg and foot, barefoot CoP displacement and in parameters of barefoot gait. Clinically relevant differences were also noted in barefoot single leg balance time. There were no differences between groups in isometric muscle strength in ankle dorsiflexion, knee flexion or extension. The second comparative study investigated foot morphology in non-weight bearing and weight bearing load conditions of the same children with and without joint hypermobility using three dimensional images (plaster casts) of their feet. The preliminary phase of this study evaluated the casting technique against direct measures of foot length, forefoot width, RCSP and forefoot to rearfoot angle. Results indicated accurate representation of elementary foot morphology within the plaster images. The comparative study examined the between and within group differences in measures of foot length and width, and in measures above the support surface (heel inclination angle, forefoot to rearfoot angle, normalized arch height, height of the widest point of the heel) in the two load conditions. Results of measures from plaster images identified that hypermobile children have different barefoot weight bearing foot morphology above the support surface than non-hypermobile children, despite no differences in measures of foot length or width. Based upon the differences in components of control of posture and gait in the hypermobile group, identified in Study One and Study Two, the final study (Study Three), using the same subjects, tested the immediate effect of specifically designed custom-made foot orthoses upon balance and gait of hypermobile children. The design of the orthoses was evaluated against the direct measures and the measures from plaster images of the feet. This ascertained the differences in morphology of the modified casts used to mould the orthoses and the original image of the foot. The orthoses were fitted into standardized running shoes. The effect of the shoe alone was tested upon the non-hypermobile children as the non-therapeutic equivalent condition. Immediate improvement in balance was noted in single leg stance and CoP displacement in the hypermobile group together with significant immediate improvement in the percentage of gait phases and in the percentage of the gait cycle at which maximum plantar flexion of the ankle occurred in gait. The neuro-muscular and musculo-skeletal characteristics of children with joint hypermobility are different from those of non-hypermobile children. The Beighton, Solomon and Soskolne (1973) screening criteria successfully classified joint hypermobility in children. As a result of this study joint hypermobility has been identified as a variable which must be controlled in studies of foot morphology and function in children. The outcomes of this study provide a basis upon which to further explore the association between joint hypermobility and neuro-muscular and musculo-skeletal conditions, and, have relevance for the physical education of children with joint hypermobility, for footwear and orthotic design processes, and, in particular, for clinical identification and treatment of children with joint hypermobility.
37

Mise en évidence du rôle physiologique de la chimiokine CCL2 dans la neurotransmission nociceptive au niveau spinal / Demonstration of the physiological function of the CCL2 chemokine in spinal nociceptive neurotransmission

Dansereau, Marc-André January 2015 (has links)
Résumé : Contrairement à ce que l'on pourrait croire, les douleurs chroniques ne constituent pas uniquement des symptômes, mais bien une pathologie à part entière. La pharmacopée actuelle ne permettant pas de les soulager efficacement, il y a maintenant un besoin de les considérer dans leur spécificité lors de la recherche de nouvelles thérapies. Dans cette optique, nous avons étudié le rôle des chimiokines et de leurs récepteurs dans le contrôle de la douleur. Connu pour leur rôle dans la réponse immunitaire, nous avons en particulier investigué le rôle du couple ligand-récepteur CCL2-CCR2 dans la régulation des douleurs d’origine arthritique. Nous avons d'abord évalué l'effet analgésique de notre molécule antagoniste du récepteur CCR2, l'INCB3344, dans un modèle de douleur inflammatoire où elle renverse d'environ 50% les douleurs provoquées et les douleurs spontanées lorsqu'administrée par voie spinale. Nous avons également pu observer que bloquer l'activation de CCR2 au niveau de la moelle épinière limite non seulement la neuroinflammation spinale, mais permet également de réduire la sévérité de l'atteinte inflammatoire périphérique en limitant le transport rétrograde de la substance P. Nous avons ensuite appliqué nos observations sur un modèle de douleur arthritique plus près de la réalité clinique des patients souffrant d'arthrite rhumatoïde. Nous y avons reproduit la majorité de nos effets analgésiques suite à une administration spinale. Le traitement est cependant demeuré sans effet sur l'œdème périphérique. Parallèlement à cela, l'administration périphérique du composé, sur une base de deux bolus par jour ou en libération continue par des mini-pompes osmotiques, n'a eu que de très faibles effets analgésiques, mais s'est révélé avoir un impact marquant sur l'œdème périphérique et le gain de poids des animaux. Finalement, c'est en combinant l'INCB3344 avec de l'ibuprofène qu'il a été possible d'avoir un impact positif sur le plus grand nombre de paramètres associés à la douleur chronique. Ces résultats suggèrent donc qu'un antagoniste du récepteur CCR2 possède un potentiel analgésique intéressant, d'autant plus lorsqu'il s'agit de douleur d'origine inflammatoire puisqu'il permet d'agir à la fois sur l'hypersensibilité nociceptive et sur la source même de la douleur inflammatoire. Ce potentiel devient d'autant plus intéressant que de le combiner à un anti-inflammatoire non-stéroïdien (l'ibuprofène) améliore l'efficacité des deux composés. // Abstract : Contrary to popular beliefs, chronic pain is not only a set of symptoms, but a bona fide pathology that the drugs currently available are not sufficient to efficiently relieve. There is thus a need to modify our approach to discover new analgesic agents, taking into consideration the specific physiopathology of chronic pain. With this in mind, we investigated the role of chemokines and their receptors in the modulation of pain. Also known for their participation in the immune response, we focused on the CCL2-CCR2 ability to regulate arthritic pain. We first evaluated the analgesic properties of INCB3344, a specific antagonist of the CCR2 receptor, in a model of inflammatory pain. It reverses both provoked and spontaneous pain by 50% when administered i.t. We also observed that spinally blocking CCR2 limited the expression of proinflammatory mediators. It also reduced peripheral inflammation by preventing peripheral transport of SP. We then translated our findings in a model of arthritic pain, closer to the clinical reality of patients with rheumatoid arthritis. Spinal administration of INCB3344 had similar analgesic actions, but did not altered peripheral inflammation. On the other hand, peripheral administration of INCB3344, either by subcutaneous injection or by continuous release assured by an osmotic pump, had almost no analgesic effects, but significantly reduced peripheral inflammation and reduced the weight loss. By combining INCB3344 with a daily administration of ibuprofen, we were however able to reduce both pain hypersensitivity and the severity of the peripheral inflammation. Taken together, these results suggest that CCR2 antagonism has promising analgesic properties; especially for inflammatory or arthritic pain as it can acts both on the sensibilized nociceptive network and on the peripheral source of the inflammatory pain. This become even more interesting as its mechanism is at least not completely redundant with those of classic non-steroidal anti-inflammatory drugs, which allow the combination of both class of molecule to yield even larger effect.
38

Perception de la force musculaire et de la distribution du poids lors d’activités motrices chez le sujet sain

Lauzière, Séléna 07 1900 (has links)
Les résultats de récentes études supportent l’idée que la perception de la force aurait un rôle important dans la réalisation des tâches fonctionnelles telles que le passage assis à debout (PAD). Cependant, très peu d’études se sont attardées à quantifier la précision avec laquelle les individus en santé sont capables de percevoir la force musculaire. De plus, aucune étude n’a évalué la perception de la distribution du poids lors du PAD chez la clientèle saine. L’objectif principal était de recueillir des données sur la capacité des individus en santé, jeunes et âgés, à percevoir la force musculaire lors d’une contraction statique des extenseurs du genou et à percevoir la distribution du poids (DP) lorsqu’ils réalisent le passage assis à debout. Cette étude a été effectuée auprès de 31 individus, divisés en deux groupes d’âge (< 50 ans et > 60 ans). Les résultats du premier objectif visant à quantifier les erreurs de perception de la force lors d’une contraction statique des extenseurs du genou ont démontré que les erreurs absolues et brutes sont plus élevées pour les niveaux de force supérieurs à 50 % CVM et que les erreurs brutes sont plus importantes chez les jeunes pour les hauts niveaux de force. Les résultats du second objectif visant à évaluer l’effet de différentes références sensorimotrices sur les erreurs de perception de la force musculaire ont montré qu’une référence à 50 % CVM préalablement montrée au participant et qu’une contraction simultanée des muscles de la préhension de la main diminuent les erreurs brutes et absolues de perception pour le niveau de force 70%. Les résultats du troisième objectif visant à quantifier les erreurs de perception de la DP lors du PAD ont démontré que les sujets jeunes et âgés ont une bonne capacité à percevoir leur DP avec des erreurs absolues et brutes variant respectivement entre 2,9 % et 9,4 % et entre -5,7 % et 5,7 % et des coefficients de corrélations intra-classes supérieurs à 0,75 entre la DP produite et celle perçue. Les résultats contribuent à approfondir les connaissances relatives à la perception de la force et de la DP chez les individus en santé. Ces données pourront servir à titre comparatif lors d’études menées auprès des patients hémiparétiques afin d’évaluer s’ils ont des problèmes perceptifs pouvant expliquer l’asymétrie récurrente qu’ils présentent dans leurs tâches fonctionnelles. / Results of recent studies support the idea that perception of force would have an important role in performing functional tasks such as sit-to-stand (STS). However, very few studies have focused on the quantification of the accuracy with which healthy individuals are able to perceive muscular force. Furthermore, no study has assessed the perception of weight-bearing distribution during the STS in healthy individuals. The purpose of this study was to provide evidence on the capacity to perceive muscular force and weight-bearing distribution in simple and complex tasks in healthy individuals. This study was conducted with 31 individuals, divided into two main age groups (<50 years > 60 years). Its first objective was to quantify the errors in perception of force during a static contraction of knee extensors and to compare these errors between young and elderly groups. Results showed that the absolute and raw errors are greater for force levels higher than 50% of maximum voluntary contraction (MVC) and that raw errors are greater in young participants for high force levels. This study’s second objective was to assess the effect of different sensorimotor references on the magnitude of errors of force perception. The results showed that a reference of 50% MVC presented to the participant beforehand or a simultaneous contraction of hand grip muscles reduced the raw and absolute errors of perception at the level of 70% MVC. A third objective was to quantify the errors of perception of weight-bearing distribution during STS and to measure the effect of age on these errors. The results showed that younger and elderly participants have an ability to perceive their weight-bearing distribution with absolute and raw errors varying respectively from 2.9% to 9.4% and from -5.7% to 5.7%. The intra-class correlation coefficient was higher than 0.75 between the weight-bearing distribution produced and that perceived during STS. The results contribute to extend knowledge about perception of force and weight bearing distribution in young and elderly healthy individuals. This data will be used for comparison in studies conducted with hemiparetic individuals in order to assess if the latter have perceptual problems which may explain the recurrent asymmetry they present in functional tasks.
39

Évolution de la répartition de mise en charge au cours de la réadaptation chez les personnes présentant une hémiparésie consécutive à un accident vasculaire cérébral

Boukadida, Amira 09 1900 (has links)
Il est connu que les personnes ayant une hémiparésie à la suite d’un accident vasculaire cérébral (AVC) présentent une mise en charge (MEC) asymétrique lors de la station debout et lors du passage assis à debout (PAD). Par contre, peu d’études ont quantifié l’évolution de la MEC avec la réadaptation ou la précision avec laquelle ces personnes sont capables de la juger. L’objectif principal de ce projet était d’étudier l’évolution de la répartition et la perception de MEC en position debout et lors du PAD chez des personnes hémiparétiques en réadaptation fonctionnelle intensive (RFI). Un objectif secondaire était d’identifier les facteurs qui caractérisent les personnes hémiparétiques les plus asymétriques et les plus atteintes dans leur perception. Cette étude a été menée auprès de seize participants. Les résultats ont démontré qu’une asymétrie de répartition de l’appui en faveur du côté non parétique est présente dès les premiers mois après l’AVC et qu’elle persiste malgré la RFI. Chez les personnes avec une atteinte sévère de la fonction motrice, la MEC était plus symétrique pour le PAD que la station debout. En termes de perception, les personnes hémiparétiques étaient capables d’identifier le côté sur lequel ils mettaient plus d’appui mais ils avaient tendance à surestimer l’appui sur le côté parétique et donc à se juger moins asymétriques qu’ils ne l’étaient en réalité. Très peu de changements ont été observés lorsque les données au congé étaient comparées aux données à l’entrée dans l’étude. En réponse à l’objectif secondaire, la fonction motrice du membre inférieur parétique évaluée par le Chedoke et la différence de force des extenseurs entre les genoux étaient les facteurs les plus déterminants de l’asymétrie et de la perception de MEC. Les résultats obtenus constituent donc une étape supplémentaire vers la compréhension de la répartition asymétrique et les troubles de perception de MEC lors de la station debout et le PAD chez les personnes hémiparétiques. Il serait intéressant dans le futur d’explorer davantage les facteurs susceptibles d’influencer l’asymétrie et la perception de MEC et d’objectiver la relation de cause à effet entre ces deux variables en plus de préciser l’effet réel de l’asymétrie sur la stabilité posturale. / It is well known that people with hemiparesis after stroke have asymmetric weight bearing (WB) when standing and during sit-to-stand (STS). However, few studies have quantified the evolution of WB with rehabilitation or focused on the accuracy with which hemiparetic individuals are able to perceive their WB. The main purpose of this project was to assess the changes, with rehabilitation, in WB distribution and perception of WB during standing position and STS in hemiparetic individuals. A secondary objective was to identify the factors that characterize the most asymmetric hemiparetic individuals and the most affected in their perception. The study was conducted with sixteen participants. The results showed that asymmetric WB is present in the first months after stroke and persists despite rehabilitation. For individuals who had had severe impairment of motor function, WB was more symmetrical during STS than standing. In terms of WB perception, hemiparetic individuals were able to identify the side on which the loading was higher and they generally overestimated the weight under the paretic side. Overall, data at admission and discharge from the study were not different. Furthermore, the motor function of paretic lower limb evaluated by Chedoke and the strength of knee extensors were the most determinant factors of WB and perception. These results can thus be considered as a further step in order to understand the asymmetrical distribution and the impaired perception of WB. It would be interesting in the future to further explore the factors that may influence the perception and asymmetry of WB in order to identify the relationship between these two variables with a specific focus on the impact of WB asymmetry on the patient’s stability in both tasks.
40

Perception de la force musculaire et de la distribution du poids lors d’activités motrices chez le sujet sain

Lauzière, Séléna 07 1900 (has links)
Les résultats de récentes études supportent l’idée que la perception de la force aurait un rôle important dans la réalisation des tâches fonctionnelles telles que le passage assis à debout (PAD). Cependant, très peu d’études se sont attardées à quantifier la précision avec laquelle les individus en santé sont capables de percevoir la force musculaire. De plus, aucune étude n’a évalué la perception de la distribution du poids lors du PAD chez la clientèle saine. L’objectif principal était de recueillir des données sur la capacité des individus en santé, jeunes et âgés, à percevoir la force musculaire lors d’une contraction statique des extenseurs du genou et à percevoir la distribution du poids (DP) lorsqu’ils réalisent le passage assis à debout. Cette étude a été effectuée auprès de 31 individus, divisés en deux groupes d’âge (< 50 ans et > 60 ans). Les résultats du premier objectif visant à quantifier les erreurs de perception de la force lors d’une contraction statique des extenseurs du genou ont démontré que les erreurs absolues et brutes sont plus élevées pour les niveaux de force supérieurs à 50 % CVM et que les erreurs brutes sont plus importantes chez les jeunes pour les hauts niveaux de force. Les résultats du second objectif visant à évaluer l’effet de différentes références sensorimotrices sur les erreurs de perception de la force musculaire ont montré qu’une référence à 50 % CVM préalablement montrée au participant et qu’une contraction simultanée des muscles de la préhension de la main diminuent les erreurs brutes et absolues de perception pour le niveau de force 70%. Les résultats du troisième objectif visant à quantifier les erreurs de perception de la DP lors du PAD ont démontré que les sujets jeunes et âgés ont une bonne capacité à percevoir leur DP avec des erreurs absolues et brutes variant respectivement entre 2,9 % et 9,4 % et entre -5,7 % et 5,7 % et des coefficients de corrélations intra-classes supérieurs à 0,75 entre la DP produite et celle perçue. Les résultats contribuent à approfondir les connaissances relatives à la perception de la force et de la DP chez les individus en santé. Ces données pourront servir à titre comparatif lors d’études menées auprès des patients hémiparétiques afin d’évaluer s’ils ont des problèmes perceptifs pouvant expliquer l’asymétrie récurrente qu’ils présentent dans leurs tâches fonctionnelles. / Results of recent studies support the idea that perception of force would have an important role in performing functional tasks such as sit-to-stand (STS). However, very few studies have focused on the quantification of the accuracy with which healthy individuals are able to perceive muscular force. Furthermore, no study has assessed the perception of weight-bearing distribution during the STS in healthy individuals. The purpose of this study was to provide evidence on the capacity to perceive muscular force and weight-bearing distribution in simple and complex tasks in healthy individuals. This study was conducted with 31 individuals, divided into two main age groups (<50 years > 60 years). Its first objective was to quantify the errors in perception of force during a static contraction of knee extensors and to compare these errors between young and elderly groups. Results showed that the absolute and raw errors are greater for force levels higher than 50% of maximum voluntary contraction (MVC) and that raw errors are greater in young participants for high force levels. This study’s second objective was to assess the effect of different sensorimotor references on the magnitude of errors of force perception. The results showed that a reference of 50% MVC presented to the participant beforehand or a simultaneous contraction of hand grip muscles reduced the raw and absolute errors of perception at the level of 70% MVC. A third objective was to quantify the errors of perception of weight-bearing distribution during STS and to measure the effect of age on these errors. The results showed that younger and elderly participants have an ability to perceive their weight-bearing distribution with absolute and raw errors varying respectively from 2.9% to 9.4% and from -5.7% to 5.7%. The intra-class correlation coefficient was higher than 0.75 between the weight-bearing distribution produced and that perceived during STS. The results contribute to extend knowledge about perception of force and weight bearing distribution in young and elderly healthy individuals. This data will be used for comparison in studies conducted with hemiparetic individuals in order to assess if the latter have perceptual problems which may explain the recurrent asymmetry they present in functional tasks.

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